ROSA VERDURA
North Miami Beach, FL 33160
*************@*****.***
Cell: 786-***-****
EMPLOYMENT HISTORY
Worksite Communication - Benefit Counselor
Long Term Care
October, 2008 present (5 years 8 month) – Per Diem
10/08 to Present: Worksite Communication – Team Lead – as needed for 25 employees
• Benefit Counselor Meet with the employee and do a presentation of the benefits offer by the
employer. Explained the voluntary insurance products such as Life Long Term Care, Critical
illness, Accident Insurance, short and long term Disability. Meet face to face with the employee to
educate them on how can they protect their family when they insure their self. Seat with
employees that are going to retired to explain them about Medicare and Medicaid programs and
their benefits.
Claims Representative
Insurance Overload/Farmers and State Farm
August, 2006 October, 2008 (2 years 2 months)
08/06 to 10/08: Insurance Overload/Farmers and State Farm - Claims Representative
• Set up insurance claims, investigated each claim, took recorded statements, interacted with
attorneys representing both parties, made final decisions based on collected facts, and made
payments after investigations were closed.
Claims Representative
Star Casualty Insurance Company
June, 2005 August, 2006 (1 year 2 months)
06/05 to 08/06: Star Casualty Insurance Company - Claims Representative
• Set up insurance claims, investigated each claim, took recorded statements and examinations
under oath, interacted with attorneys, representing both the claimant and the company, and made
final decisions based on facts collected during the investigation. Made provider payments after
investigations were successfully closed.
Claims Representative
United Auto Insurance Group
May, 2003 June, 2005 (2 years 1 month)
05/03 to 06/05: United Auto Insurance Group - Claims Representative
• Set up insurance claims, investigated each claim, took recorded statements and examinations
under oath, interacted with attorneys, representing both the claimant and the company, and made
final decisions based on facts collected during the investigation. Made provider payments after
investigations were successfully closed.
Billing Supervisor and Provider Relation
Health Access
July, 2000 May, 2003 (2 years 10 months)
07/00 to 05/03: Health Access - Medical/Billing Supervisor and Provider Relation Coordinated major and
complex surgeries, hired/trained/developed office staff of 15 Managed daily activities, supervised
payment collections
• Monitored completion of submitted claims and payments to facilities and medical services.
• Performed revenue analysis by case and prepared analytical reports for monthly review with the
board of directors. Set appointments with doctors to sign them in the company net work.
• Collect their credentials to submit them for compliance Review and maintain a close relationship
with providers.
Sales Representative
Mutual of Omaha Insurance Co
January, 1999 July, 2000 (1 year 6 months)
01/99 to 07/00: Mutual of Omaha Insurance Co. - Sales Representative Educated and assisted potential
customers in the selection of insurance policies that best served their needs.
• Used best practices in each insurance selection process, and provided guidance to assist clients
in protecting their families, and reach their future financial goals.
• Established and maintained a long-term relationship with the clients.
OTHER: Good computer experience including Microsoft Word & Excel. Excellent communication and
interpersonal skills. Bilingual - English and Spanish.
EDUCATION
Florida Metropolitan University
Bachelor, Business Administration
Florida Metropolitan University. Bachelor Degree in Business Administration,
National Nursing School
Degree date: 1998
Oct 1998. National Nursing School, Registered Nurse, Nicaragua
LICENSES AND CERTIFICATIONS
• Florida Life Health and Annuity Insurance. Company Adjuster-All Lines
• Registered Nurse